Individual
EDWARD CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0001668
CT
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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